Clinic notes were received.Reports worsening mood and anxiety symptoms.Will increase clonazepam for anxiety.Also changes of time of vns to 3 minutes from 5 minutes.Time was changed about 2 months ago, which is time when mood began to decline.Mood/anxiety changes were noted to correlate with the increase in off time from 3 to 5 minutes at last visit so they changed the off time back to 3 minutes.However, upon subsequent visits the physician notes worsening mood and will change meds or adjust vns if needed at next visit, however at next visit no settings were changed.Indicating no relationship to vns.No additional information has been received to date.
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